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General NPI Number Information
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NPI Number | 1942138193
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Entity Type | Individual
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Provider Name | TESS D ABBOTT OPTICIAN
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Gender | Male
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 05/09/2026
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Provider Practice Location Address
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Address Line | 1200 N MAIN ST
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City | SUFFOLK
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State | VA
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Zip | 23434-4321
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Country | US
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Telephone | 757-925-0477
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Fax | 757-538-0745
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Provider Business Mailing Address
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Address Line | 601 GLADSTONE AVE
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City | PORTSMOUTH
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State | VA
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Zip | 23701-1113
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Country | US
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Telephone | 757-372-5342
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 1101003959
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License Number State | VA
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